Organization Active NPI

Michigan Clinic Neurosurgery PLLC

  • Neurological Surgery Physician
  • Saginaw, MI
National Provider Identifier
1457794513
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
MICHIGAN CLINIC NEUROSURGERY PLLC
Practice address
3160 Cabaret TRL S
Saginaw, MI 48603-2202
Phone
(989) 799-8712
Fax
(989) 799-0222
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gerald R Schell, MDNPI 1871584011
Title
Medical Director
Phone
(989) 799-8712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

3160 Cabaret TRL S
Saginaw, MI 48603-2202

Mailing address

3160 Cabaret TRL S
Saginaw, MI 48603-2202
Phone (989) 799-8712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131009001036 MI Part B Supplier - Clinic/Group Practice 5496989337 Receives reassigned benefits from 4 practitioners
Practice locations: West Branch, MI; Saginaw, MI; Cass City, MI; Flint, MI; Alpena, MI
O20150925001705 MI DME Supplier - Physician - Neurosurgery 5496989337 Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Locations

3273 Davison Rd
Ste 4
Lapeer, MI 48446
Phone (810) 660-7535

2750 Main St
Ste 7
Marlette, MI 48453
Phone (989) 635-4344

3160 Cabaret Trl S
Saginaw, MI 48603
Phone (989) 343-0103

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1457794513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 CABARET TRL S",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032202",
            "telephone_number": "989-799-8712",
            "fax_number": "989-799-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 CABARET TRL S",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032202",
            "telephone_number": "989-799-8712",
            "fax_number": "989-799-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CLINIC NEUROSURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "SCHELL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "989-799-8712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.